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Men with incomplete spinal cord injuries may achieve reflex, but not psychogenic erections.

That is; an erection may be achieved by physical stimulus, touch, not erotic vision or thought.

Wheelchair sex and the ability to develop sexuality, participate in sexual activity, and maintain long term intimate relations is desired as much by people with a disability as in the general population.

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The most sensitive area of the penis is the fraenum (underside of penis head).

A vibrator applied to the fraenum can not only induce erection but orgasm, ejaculation.

Women with an IDC can also leave a catheter in during sex unless it causes problems.

Stoma and those who self-cath (pass a catheter several times a day to drain bladder) usually do so just prior to sex to avoid any unwanted urine leakage.

Supra Pubic Catheter users are free to engage in wheelchair sex, intimacy and sexual intercourse anytime.

Usually high level quadriplegics cannot go without a catheter for long.

The amount of physical sexual function and ability to feel pleasure or pain sensation after a spinal cord injury depends on level and completeness.

In general, an incomplete spinal cord injury affects sexual function to a varying degree if at all, as opposed to complete where no function exists.

Women with incomplete spinal injuries are generally able to produce vaginal lubrication and enjoy wheelchair sex.

For women with complete injuries between T10 and T12 there is typically an absence of either psychogenic or reflex lubrication.

Care should be taken not to pull on a catheter during sex but don’t let it spoil enjoyment.

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